Edwin Ivan Rodriguez, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS-1466 Issued in KS

Practice address

15311 W 119TH St
Olathe, KS 66062-5290

Phone

(913) 780-3200

Fax

(913) 780-6770

NPI assigned

Nov 15, 2005

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Price Young Odle and Horsch PAGroup PAC ID 2062494420, 28 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erodriguez@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Manhattan, KS
  • NPI 1396713574
  Medicare reassignment Care Compare group NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Topeka, KS
  • NPI 1164491189
  NPD
• DRS Price Young Odle & Horsch PA

  dba The EyeDoctors

  • Optometrist
  • Lawrence, KS
  • NPI 1235108101
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1821070996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 SW WANAMAKER RD",
            "address_2": "SUITE 192",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666144293",
            "telephone_number": "785-272-0707",
            "fax_number": "785-271-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660625290",
            "telephone_number": "913-780-3200",
            "fax_number": "913-780-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "EDWIN",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS-1466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "390312",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00327881",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100220540B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3405670",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KC",
            "identifier": "22515081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy I Rockers, D.C.
• Joanna Noel Rockufeler
• Rococo Healthcare Services
• Cooper Rodgers, MD
• Megan Rodrigues, MD
• Nicolas Rodriguez, D.C.
• Jennifer Ann Roe
• Kelly Leigh Roepka, LMSW
• Heather Marie Rogers, MS, OTRL
• Janet L. Rogers, LCPC, REG.PLAYTHER

• Optometrist in Olathe, KS
• Providers in Olathe, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.